Honey Bee VFD Antibiotic Request Form
Firm Number
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Beekeeper Or Company Name:
Number Of Colonies
Email Address
example@example.com
Submit
Treatment Requested
Please Select
Oxytetracycline (using dusting/powdered sugar mix/sugar syrup) 600 mg/colony in powdered sugar or in sugar syrup or Oxytetracycline (grease patty) 800 mg/colony
Oxytetracycline (using grease patty) 800 mg/colony
Lincomycin 100 mg/colony in powdered sugar
Tylosin 200 mg/colony in powdered sugar
Should be Empty: